2015-08-17T15:19:35-05:00 2014-09-30 450250958 EIDE BAILLY LLP 1850 N CENTRAL AVE SUITE 400 PHOENIX AZ 850044527 990 2013-10-01 860223720 THE GUIDANCE CENTER INC GUID 9287146414 2187 N VICKEY ST FLAGSTAFF AZ 86004 MARK NELLIS FINANCE DIRECTOR 9287146414 2015-08-17 1 BRENDA BLUNT CPA P00075126 6022645844 2015-08-17 2013 2016-04-25 22:37:26Z DR JOHN CALLAGHAN 2187 N VICKEY ST FLAGSTAFF AZ 86004 19738900 0 X WWW.TGCAZ.ORG X 1969 AZ TO IMPROVE THE BEHAVIORAL HEALTH OF THE PEOPLE OF OUR COMMUNITY. WE WILL (CONT'D SCHED O)BE THE PROVIDER OF CHOICE FOR BEHAVIORAL HEALTH IN NORTHERN ARIZONA, OFFERING A FULL RANGE OF HIGH-QUALITY, COST-EFFECTIVE SERVICES. 8 8 332 8 0 0 5062364 18216814 310024 1484068 18031 23051 268513 14967 5658932 19738900 0 0 0 0 2713008 10646207 0 0 0 2426384 9042787 5139392 19688994 519540 49906 13888512 13876277 10533992 10471851 3354520 3404426 X IMPROVE THE BEHAVIORAL HEALTH OF THE PEOPLE OF OUR COMMUNITY. WE WILL BE THE PROVIDER OF CHOICE FOR BEHAVIORAL HEALTH IN NORTHERN ARIZONA, OFFERING A FULL RANGE OF HIGH-QUALITY, COST-EFFECTIVE SERVICES. 0 1 7168141 401556 ADULT OUTPATIENT SERVICES - INCLUDES PSYCHIATRIC CARE, MEDICATION AND PRESCRIPTION MONITORING, AND CASE MANAGEMENT. THE PROGRAM INCLUDES THE COMMUNITY LIVING SERVICES DEPARTMENT, THE OUTPATIENT SUBSTANCE ABUSE DEPARTMENT AND THE CRISIS SERVICES DEPARTMENT. THE OVERALL GOAL OF THE COMMUNITY LIVING SERVICES DEPARTMENT IS TO IMPROVE THE BEHAVIORAL HEALTH OF ADULTS WITH SERIOUS MENTAL ILLNESSES OR OTHER MENTAL HEALTH PROBLEMS THROUGH THE PROVISION OF HIGH QUALITY, COST-EFFECTIVE OUTPATIENT SERVICES. WE PROVIDED SERVICES TO OVER 2,200 INDIVIDUALS IN 2014. (CONT'D SCHED O)COUNSELING IS OFFERED TO CONSUMERS IN ORDER TO ASSIST WITH THE IDENTIFICATION OF PROBLEMS OR CONFLICTS, TO PROVIDE SUPPORT, EDUCATION, AND UNDERSTANDING FOR THE CONSUMER, GROUP OF CONSUMERS, OR FAMILY IN ORDER TO RESOLVE OR MANAGE FUTURE PROBLEMS OR CONFLICTS. LIVING SKILLS TRAINING AND CASE MANAGEMENT SERVICES ARE PROVIDED TO ASSIST THE CONSUMER IN MAXIMIZING HIS/HER ABILITY TO LIVE AND PARTICIPATE IN THE COMMUNITY AND TO FUNCTION INDEPENDENTLY BY TEACHING INDEPENDENT LIVING, SOCIAL AND COMMUNICATION SKILLS TO THE CONSUMER AND HIS/HER FAMILY. THESE SERVICES ARE OFFERED INDIVIDUALLY, IN A GROUP, OR WITH FAMILIES WITH THE CONSUMER PRESENT.THE GUIDANCE CENTER ALSO PROVIDES SERVICES FOR THE TREATMENT OF SUBSTANCE ABUSE DISORDERS. THE OUTPATIENT SUBSTANCE ABUSE DEPARTMENT UTILIZES AN EVIDENCE-BASED MODEL CALLED THE MATRIX MODEL OF TREATMENT. THE PROGRAM SERVES THOSE ADULTS 18 AND OVER WITH A DIAGNOSIS OF SUBSTANCE ABUSE OR DEPENDENCE. THE PROGRAM OFFERS INDIVIDUAL COUNSELING AS WELL AS GROUP COUNSELING DURING THE DAY AND EVENING HOURS. IN 2014 WE PROVIDED SUBSTANCE ABUSE OUTPATIENT SERVICES TO 954 INDIVIDUALS.OUR CRISIS SERVICES DEPARTMENT PROVIDES CRISIS SERVICES 24 HOURS A DAY, 365 DAYS A YEAR. WE HAVE A CRISIS CALL-IN NUMBER AS WELL AS 24-HOUR CRISIS WALK-IN SERVICES. 3116935 5830 CHILDREN'S OUTPATIENT SERVICES - CHILD AND FAMILY SERVICES OFFERS PROGRAMS TO CHILDREN FROM BIRTH TO 18 YEARS OLD. THE GOAL OF THIS PROGRAM IS TO PROVIDE SERVICES FOR CHILDREN AND FAMILIES WHO ARE IN NEED OF BEHAVIORAL HEALTH SUPPORT IN AN EASILY ACCESSIBLE MANNER AND IN A SAFE, SECURE, AND CONFIDENTIAL ENVIRONMENT. THE SERVICES PROVIDED SPAN A WIDE CONTINUUM DESIGNED TO SUPPORT A FAMILY-CENTERED SERVICE DELIVERY MODEL. IN 2014, CHILD AND FAMILY SERVICES SERVED APPROXIMATELY 636 INDIVIDUAL CHILDREN. (CONT'D SCHED O)PRIMARY SERVICES WE PROVIDE:- COUNSELING: INDIVIDUAL, FAMILY AND GROUP- CASE MANAGEMENT, PROVIDING HIGHLY INDIVIDUALIZED CARE - CHILD AND FAMILY ASSESSMENTS- OUTPATIENT SUBSTANCE ABUSE GROUP - LIFE SKILLS: INDIVIDUAL AND GROUP SESSIONS - SUMMER GROUPS WITH TRANSPORTATION PROVIDED- CHILDREN'S PSYCHIATRIC AND PSYCHOLOGICAL SERVICES- MEDICATION MONITORING- BIRTH TO FIVE TEAM SPECIALIZING IN HEALTHY EARLY CHILDHOOD DEVELOPMENT 5319574 663591 INPATIENT SERVICES - THE GUIDANCE CENTER PROVIDES EXTENSIVE INPATIENT SERVICES IN THREE CATEGORIES: THE RESIDENTIAL SUBSTANCE ABUSE TREATMENT RECOVERY PROGRAM, THE ALCOHOL STABILIZATION UNIT (ASU), AND THE PSYCHIATRIC ACUTE CARE UNIT (PAC UNIT). THE 16 BED RESIDENTIAL SUBSTANCE ABUSE TREATMENT RECOVERY PROGRAM SERVES MALES AND FEMALES, AGES 18 AND OVER, WITH A SIGNIFICANT AND RECENT HISTORY OF SUBSTANCE ABUSE OR DEPENDENCE. THE FACILITY IS ABLE TO ACCOMMODATE INDIVIDUALS WITH MANY TYPES OF DISABILITIES. (CONT'D SCHED O)THE GOALS OF THE RECOVERY PROGRAM INCLUDE:- PROVIDING A SAFE, SOBER ENVIRONMENT FOR INDIVIDUALS WHO ARE RECOVERING FROM SUBSTANCE ABUSE AND DEPENDENCE - ASSISTING CONSUMERS IN DEVELOPING MOTIVATION FOR SOBRIETY AND ESTABLISHING GOALS FOR THEIR FUTURE.- PROVIDING AN OPPORTUNITY FOR CONSUMERS TO BEGIN TO PRACTICE NEWLY ACQUIRED COPING SKILLS, COMMUNICATION SKILLS, AND REFUSAL SKILLS.THE 12 BED ALCOHOL STABILIZATION UNIT PROVIDES IMMEDIATE STABILIZATION AND TRANSITION SERVICES FOR ADULTS IN THE FLAGSTAFF AND SURROUNDING COMMUNITIES IN CONJUNCTION WITH FLAGSTAFF MEDICAL CENTER, CITY OF FLAGSTAFF POLICE DEPARTMENT, GUARDIAN MEDICAL TRANSPORT, COCONINO COUNTY SHERIFF'S OFFICE AND THE SHELTERS. THIS PROGRAM OFFERS A PLACE WHERE THE PERSON EXPERIENCING HIGH-RISK USE OF ALCOHOL OR DRUGS CAN CONSIDER LIFE CHANGES TOWARD SOBRIETY. WE OFFER NUTRITION, A SAFE PLACE TO REST, SELF-CARE ASSISTANCE, EDUCATIONAL GROUPS, AND CASE MANAGEMENT SERVICES. THE STAFF AND CASE MANAGER ENCOURAGE EACH PERSON TO CONSIDER SOBRIETY. THE STAFF AND CASE MANAGER ALSO ENCOURAGE PARTICIPATION IN OUTPATIENT EARLY RECOVERY GROUPS AND A PLAN TO ADMIT TO THE RESIDENTIAL RECOVERY UNIT. THE SUBSTANCE ABUSE STABILIZATION & TRANSITION SERVICES IS CLASSIFIED (PER ADHS/OBHL GUIDELINES) AS A LEVEL IV RURAL SUBSTANCE ABUSE TRANSITIONAL AGENCY.THE PSYCHIATRIC ACUTE CARE UNIT (PAC UNIT) IS A 16-BED PSYCHIATRIC HOSPITAL. THIS UNIT OFFERS SUPPORT FOR ADULTS WHO ARE IN NEED OF EVALUATION, MEDICATION STABILIZATION, AND/OR EMERGENCY PSYCHIATRIC CARE, INCLUDING VOLUNTARY AND INVOLUNTARY HOSPITALIZATION. OUR QUALIFIED, COMPASSIONATE STAFF OFFERS 24-HOUR CARE IN A SAFE, STRUCTURED ENVIRONMENT. OUR EMPLOYEES PROVIDE MEDICATION MONITORING, EDUCATIONAL AND ACTIVITY GROUPS. THE GOAL OF THE UNIT IS TO PROVIDE A STRUCTURED AND THERAPEUTIC SETTING WHICH FACILITATES THE STABILIZATION OF THE INDIVIDUAL AND TO PROVIDE THEM WITH RESOURCES AND TOOLS TO EMPOWER THEM TO SUCCEED IN MUTUALLY ESTABLISHED GOALS AND OBJECTIVES WITH THE ULTIMATE GOAL OF BEING THAT THEY CAN THRIVE AS A MEMBER OF THE COMMUNITY. 1008001 421710 TGC HAS, ON IT'S CAMPUS, AN INDEPENDENT INTEGRATED HEALTH CLINIC WHICH PROVIDES CONSUMERS WITH PHYSICAL CARE AND COUNSELING IN ADDITION TO BEHAVIORAL HEALTH SERVICES. TGC OWNS THREE RESIDENTIAL HOUSING UNITS TO PROVIDE ASSISTED AND INDEPENDENT LIVING QUARTERS FOR OUR CONSUMERS. WE ALSO CONTRACT FOR 12 SCATTERED SITE APARTMENTS. THROUGH THESE UNITS, WE PROVIDED HOUSING FOR 55 SMI CONSUMERS IN FY 2014. HOUSING REVENUES WERE 394,046 OF THE TOTAL OTHER REVENUES OF 774,646. 1008001 421710 16612651 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 53 0 1 332 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 AZ X MARK NELLIS 9287146414 2187 N VICKEY STREET FLAGSTAFF AZ 86004 JOANN LESCOE DIRECTOR 1.00 X 0 0 0 KEITH HAYDEN DIRECTOR 1.00 X 0 0 0 BETH ANN OTTERSTEIN DIRECTOR 1.00 X 0 0 0 ELLEN SEABORNE DIRECTOR 1.00 X 0 0 0 JOSH COPLEY PRESIDENT 1.00 X X 0 0 0 DEANNA PRIDA VICE PRESIDENT 1.00 X X 0 0 0 CAROL LINDSAY SECRETARY 1.00 X X 0 0 0 JOHN KOLODY JR CPA TREASURER 1.00 X X 0 0 0 JACK CALLAGHAN PHD CEO 40.00 X 186000 0 0 MARK NELLIS CFO 40.00 X 39546 0 3905 DR JAMES MCDANIEL MEDICAL DIRECTOR 40.00 X 169054 0 10793 ELLEN BETTS PHD CHIEF CLINICAL OFFICER 40.00 X 117407 0 17979 MICHAEL GURNEY PHYSICIAN ASSISTANT 40.00 X 107424 0 9377 MATT BARKMAN NURSE PRACTITIONER 40.00 X 109758 0 9662 729189 0 51716 5 0 1 0 STAFF CARE INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 CONTRACTED MEDICAL PRACTITIONERS 331234 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 CONTRACTED MEDICAL PRACTITIONERS 220462 FASPSYCH LLC 3260 N HAYDEN ROAD SUITE 105 SCOTTSDALE AZ 85251 TELEMED PSYCHIATRIC SERVICES 156273 GLOBAL MEDICAL STAFFING 2450 E FORT UNION BLVD SALT LAKE CITY UT 84121 MEDICAL STAFFING 113400 4 13400 18027183 176231 18216814 CLIENT FEES 621300 1250669 1250669 GROSS RENTS 623990 149023 149023 OTHER CLIENT SERVICES 900099 45285 45285 CLINICAL SPACE RENTALS 531120 39091 39091 1484068 201 201 22850 0 22850 22850 22850 OTHER INCOME 621300 14967 8619 6348 14967 19738900 1492687 0 29399 X 696151 598690 97461 8411955 7234281 1177674 144593 137363 7230 685318 651052 34266 708190 672781 35409 28810 27370 1440 43896 41701 2195 53341 50674 2667 5166383 4888368 278015 22008 20467 1541 66597 61935 4662 399412 371453 27959 963340 518373 444967 189542 55931 133611 50769 47215 3554 648206 437874 210332 632834 518924 113910 BAD DEBT 478512 478512 DUES,FEES AND LICENSES 119941 111545 8396 TELEPHONE/INTERNET 100590 93549 7041 OTHER 78606 73105 5501 19688994 16612651 3076343 0 783451 1993027 512343 363394 1302161 549226 175493 206665 16443221 6820069 10109825 9623152 777119 926178 228120 214635 13888512 13876277 1246351 1737024 19314 57939 7175000 6950000 1790434 1487254 302893 239634 10533992 10471851 X 3354520 3404426 3354520 3404426 13888512 13876277 49906 0 X 0 1 X 0 0 X 19631436 18079050 16672687 5062364 18216814 77662351 19631436 18079050 16672687 5062364 18216814 77662351 77662351 17745 797 1063 78 201 19884 26801 55513 97621 16816 6348 203099 77885334 25091929 0.99710 0.99680 X SCHEDULE A, PART II COLUMN D REPORTS THE SHORT PERIOD JULY 1, 2013 THROUGH SEPTEMBER 30, 2013. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1699163 1699163 11637706 4511780 7125926 1069659 730559 339100 1982050 1535993 446057 54643 41737 12906 9623152 CASH MANAGMENT ACCOUNTS 926178 C 926178 LEASE PAYABLE 72899 BHIP PAYABLE 160579 DEPOSITS 6156 239634 X 19730283 0 19730283 8617 8617 19738900 19680377 0 19680377 8617 8617 19688994 PART X, LINE 2: TGC EVALUATES ITS UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF ITS POLICIES AND PROCEDURES, REVIEW OF ITS REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: INSURANCE REIMBURSEMENT RECLASSIFICATION 8,617. PART XII, LINE 4B - OTHER ADJUSTMENTS: INSURANCE REIMBURSEMENT RECLASSIFICATION 8,617. 1 1 X 0 1 X 217.000000000000 0 0 0 23037 23037 0.00120 13376985 13376985 13400022 13376985 23037 0.00120 12360 200 12160 0.00060 5513423 4917559 595864 0.03100 19200 100 19100 0.00100 5544983 4917859 627124 0.03260 18945005 18294844 650161 0.03380 4 55 482323 394046 88277 0.00460 5200 5200 0.00030 1440 1440 0.00010 4 55 488963 394046 94917 0.00500 0 478512 25000 463931 613024 -149093 X 1 1 1 1 THE GUIDANCE CENTER 2187 N VICKEY STREET FLAGSTAFF AZ 86004 X THE GUIDANCE CENTER 1 1 X X X X X X X X 12 1 0 1 X TGCAZ.ORG X X X 0 0 1 0 1 217.000000000000 1 X 1 1 X X 1 0 X X X X 0 X X 0 0 THE GUIDANCE CENTER PART V, SECTION B, LINE 1J: OUR CHNA WAS FOCUSED ON MENTAL HEALTH NEEDS OF COCONINO COUNTY THE GUIDANCE CENTER PART V, SECTION B, LINE 3: THE GUIDANCE CENTER CHNA TEAM REVIEWED RECENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS PERFORMED SEPARATELY BY BOTH THE FLAGSTAFF MEDICAL CENTER AND COCONINO COUNTY PUBLIC HEALTH SERVICES. THE DATA REPORTED BY THESE TWO ENTITIES WAS THEN INCORPORATED WITHIN AND UTILIZED IN THE CHNA CONDUCTED BY THE GUIDANCE CENTER. THE GUIDANCE CENTER PART V, SECTION B, LINE 7: THE ORGANIZATION IDENTIFIED THREE PRIMARY ISSUES TO ADDRESS; MENTAL HEALTH DRIVEN ISSUES, AVAILABILITY OF SERVICES AND AWARENESS. UNDER MENTAL HEALTH ISSUES, THE ORGANIZATION CONDUCTED THREE MENTAL HEALTH FIRST AID TRAININGS DURING THE CURRENT YEAR. MENTAL HEALTH FIRST AID IS A ONE-DAY TRAINING PROGRAM DESIGNED TO ASSIST THE GENERAL PUBLIC IN RECOGNIZING SIGNS OF MENTAL ILLNESS AND RESPONDING IN A SUPPORTIVE WAY, ASSISTING THE PERSON TO OBTAIN SERVICES AND REGAIN THEIR OWN MENTAL HEALTH. THE ORGANIZATION CHOSE NOT TO ADDRESS VIOLENT CRIME PREVENTION BEYOND ITS INVOLVEMENT AS A COMMUNITY STAKEHOLDER IN CURRENT EFFORTS UNDERWAY TO ADDRESS VIOLENT CRIME. UNDER AVAILABILITY OF SERVICES, THE ORGANIZATION BEGAN A FEASIBILITY STUDY TO DETERMINE THE COMMUNITY'S NEED FOR MEDICALLY MONITORED DETOXIFICATION SERVICES. THE STUDY WAS NOT COMPLETED AS IT WAS DETERMINED A NEED DID EXIST AND THE ORGANIZATION HAS BEGUN TO PROVIDE THESE SERVICES. UNDER AWARENESS, THE ORGANIZATION HAS FOCUSED ON PROVIDING MORE OUTREACH AND MARKETING OF THE RESOURCES THEY HAVE AVAILABLE TO THE COMMUNITY. SPECIFICALLY, A MARKETING DEPARTMENT HAS BEEN FORMED TO FOCUS ON PROVIDING INFORMATION TO THE COMMUNITY ON SERVICES PROVIDED AND INCREASE REFERRALS. THE GUIDANCE CENTER PART V, SECTION B, LINE 14G: ACCOUNT REPRESENTATIVES SCREEN CONSUMERS DURING YEARLY PAPERWORK REVIEW OR UPON NOTIFICATION OF CHANGE. THE GUIDANCE CENTER PART V, SECTION B, LINE 20D: ORGANIZATION BILLED INDIVIDUALS USING THEIR STANDARD RATE SCHEDULE BASED ON INSURANCE COMPANY BILL RATES. PART V, LINE 10: THE GUIDANCE CENTER DOES NOT PROVIDE FREE CARE, ONLY DISCOUNTED CARE. 4 OUTPATIENT CLINIC 2187 N VICKEY STREET FLAGSTAFF AZ 86004 OUTPATIENT TREATMENT INCLUDING THOSE WITH SEVERE MENTAL ILLNESS RECOVERY UNIT 2697 E INDUSTRIAL DRIVE FLAGSTAFF AZ 86004 REHABILITATION ALCOHOL STABILIZATION UNIT 2187 N VICKEY STREET FLAGSTAFF AZ 86004 STABILIZATION OUTPATIENT CLINIC 2695 E INDUSTRIAL DRIVE FLAGSTAFF AZ 86004 OUTPATIENT TREATMENT INCLUDING THOSE WITH SEVERE MENTAL ILLNESS PART I, LINE 7: AN AVERAGE COST TO CHARGE RATIO WAS USED. PART I, LINE 7G: AN AVERAGE COST TO CHARGE RATIO WAS USED. PART II, COMMUNITY BUILDING ACTIVITIES: -TGC PROVIDES HOUSING FOR THE SERIOUSLY MENTALLY ILL, CHRONICALLY HOMELESS AND FOR INDIVIDUALS RECOVERING FROM SUBSTANCE/ ALCOHOL ABUSE RELATED BEHAVIORAL HEALTH ISSUES. -TGC ADMINISTRATION AND PUBLIC RELATIONS STAFF PARTICIPATE IN NUMEROUS COMMUNITY HEALTH COALITION MEETINGS THROUGHOUT THE YEAR.-TGC SPONSORS ONCE-MONTHLY ON-CAMPUS FILM NIGHTS SEEKING TO INFORM THE COMMUNITY OF BEHAVIORAL ISSUES AND CONCERNS. PART III, LINE 2: BAD DEBT IS DETERMINED FROM THAT PORTION OF SELF-PAY PATIENT REVENUES WRITTEN OFF AS NON-COLLECTIBLE EACH YEAR AFTER HAVING SENT OUT THREE LATE PAYMENT NOTICES FOR EACH OCCASION OF SERVICE BILLED. PART III, LINE 3: A 5% RATIO OF TOTAL BAD DEBT IS FELT TO BE A RELATIVE MEASURE OF THOSE INDIVIDUALS FOR WHOM INSUFFICIENT INFORMATION WAS ABLE TO BE OBTAINED TO VALIDATE THEIR ELIGIBILITY FOR TGC'S FINANCIAL ASSISTANCE PROGRAM. PART III, LINE 4: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO EARNINGS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL BALANCES. BALANCES THAT ARE STILL OUTSHANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO CLIENTS AND INSURANCE RECEIVABLES. PART III, LINE 8: 95% OF THE SHORT FALL FROM MEDICARE WAS COVERED BY TGC AND 5% BY CLIENT CO-PAY. HAD TGC NOT COVERED THE 95% SHORT FALL THOSE CLIENTS MAY NOT HAVE RECEIVED TREATMENT.THE MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR THE FISCAL YEAR ENDING 9/30/14. PART III, LINE 9B: PROVISIONS IN THE POLICY EXPLAIN AVAILABLE FINANCIAL ASSISTANCE AND REMAINING BALANCES THAT THE PATIENT WILL BE RESPONSIBLE FOR. COLLECTION PRACTICES ARE FOLLOWED ONLY ON OUTSTANDING BALANCES AFTER FINANCIAL ASSISTANCE HAS BEEN APPLIED. PART VI, LINE 2: SERVICES PROVIDED ARE PRIMARILY DEFINED BY CONTRACT WITH NORTHERN ARIZONA REGIONAL BEHAVIORAL HEALTH AUTHORITY AND THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM. THE ORGANIZATION DID A NEEDS ASSESSMENT FOR FYE 2013, (TAX YEAR 2012). PART VI, LINE 3: EACH CONSUMER IS ASSIGNED A FINANCIAL ACCOUNT REPRESENTATIVE. THE CONSUMER MEETS WITH THE REP AND IS ASSESSED FOR ALL POSSIBLE FUNDING SOURCES INCLUDING FUNDING FROM TGC. THE REP ASSISTS THE CONSUMER IN OBTAINING AVAILABLE FUNDING. AN ANNUAL FINANCIAL STATUS IS DONE ON THE CONSUMER THAT IS USED IN PART TO TRACK THEIR ELIGIBILITY IN FEDERAL OR STATE PROGRAMS. UPDATES ARE DONE AS STAFF IS MADE AWARE OF ANY POSSIBLE CHANGES TO QUALIFYING FACTORS AND CONSUMERS ARE RESCREENED FOR THESE PROGRAMS. PART VI, LINE 4: THE ORGANIZATION SERVES THE CATCHMENT AREA OF COCONINO COUNTY, INCLUDING THE CITY OF FLAGSTAFF AND RURAL AREAS. THE MAJORITY OF OUR PATIENTS ARE FROM MINORITY POPULATIONS WITH OVER 20% IDENTIFYING THEMSELVES AS MEMBERS OF THE NATIVE AMERICAN COMMUNITY. OVERALL OUR PATIENTS ARE DEMOGRAPHICALLY REPRESENTATIVE OF THE COMMUNITY WE SERVE. PART VI, LINE 5: THE GUIDANCE CENTER'S BOARD IS COMPRISED OF INDIVIDUALS RESIDING IN COCONINO COUNTY. THEY ARE NOT EMPLOYEES OR CONTRACTORS OF TGC. ONE BOARD MEMBER IS A PARENT OF A CONSUMER AT TGC. SURPLUS FUNDS ARE REINVESTED BACK INTO THE ORGANIZATION TO PROVIDE BETTER CONSUMER CARE.TGC HAS THE ONLY STAND-ALONE INPATIENT PSYCHIATRIC ACUTE CARE LEVEL 1 HOSPITAL IN COCONINO COUNTY. WE PROVIDE TRAINING OPPORTUNITIES FOR NURSES, NURSE PRACTITIONERS AND OTHER HEALTHCARE PROFESSIONALS. WE PROVIDE SERVICES FOR MEDICAID PATIENTS, AND FOR INVOLUNTARY COMMITMENTS THROUGH THE COUNTY. TGC ALSO HAS A DONATION PROGRAM AND PROVIDES OPPORTUNITIES FOR VOLUNTEERS. PART VI, LINE 6: N/A X X 0 0 0 0 0 0 0 0 0 JACK CALLAGHAN PHD CEO 186000 0 0 0 0 0 0 0 0 0 186000 0 0 0 DR JAMES MCDANIEL MEDICAL DIRECTOR 169054 0 0 0 0 0 0 0 10793 0 179847 0 0 0 A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF COCONINO 860375099 19185MAG3 2005-09-15 8355000 LAND, NEW FACILITY, SOFTWARE P 0 0 0 A 1180000 8355000 715000 295000 163300 5489048 1955775 2006 1 0 1 1 A 0 1 0 0 0.01960 0.00000 0.01960 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART III, LINE 3 IN AUGUST 2013, TGC DIVESTED ITSELF FROM PHARMACY OPERATIONS AT ITS THREE NORTHERN ARIZONA LOCATIONS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES THAT ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE CFO AND FINANCE DEPARTMENT AND THEN IS PRESENTED TO THE CEO AND BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED ANNUALLY BY THE PRESIDENT OF THE BOARD OF DIRECTORS BY SENDING OUT THE POLICY AND A QUESTIONNAIRE TO THE BOARD MEMBERS AND OFFICERS OF THE GUIDANCE CENTER. IF THERE IS A CONFLICT THE MEMBER OR OFFICER MAY NOT PARTICIPATE IN DISCUSSIONS AND VOTING RELATING TO THE CONFLICT AND THIS NON-PARTICIPATION IS NOTED IN THE MEETING MINUTES FORM 990, PART VI, SECTION B, LINE 15 2013 INFORMATION PROVIDED BY THE HUMAN RESOURCES DEPARTMENT, GATHERED FROM INFORMATION ON WAGES BY AREA AND OCCUPATION AND MARKETABLE WAGES. THIS INFORMATION WAS COMBINED WITH DATA FROM RECRUITING MARKETS. ANNUAL REVIEWS ARE DONE BASED ON DATE OF HIRE. THE BOARD REVIEWS THE CEO COMPENSATION AND THE CEO REVIEWS ALL OTHER OFFICER COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S ARTICLES OF INCORPORATION, BY-LAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 4,888,368. MANAGEMENT AND GENERAL EXPENSES 278,015. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,166,383.